Organization Active NPI

Circle City Medical Group

Doing business as Smartt Neurology, PC

  • Specialist
  • Carmel, IN
National Provider Identifier
1891795084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01058330A Issued in IN
Legal business name
CIRCLE CITY MEDICAL GROUP
Doing business as
Smartt Neurology, PC
Practice address
9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600
Phone
(317) 872-4545
Fax
(317) 872-3959
NPI assigned
Jul 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard J Menning
Title
Medical Practice Management
Phone
(317) 865-9824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01058330A IN Primary

Addresses

Primary practice location

9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600

Mailing address

9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600
Phone (317) 872-4545

Other names 1

  • Smartt Neurology, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Circle City Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891795084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 N AUGUSTA DR",
            "address_2": "SUITE 412",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329600",
            "telephone_number": "317-872-4545",
            "fax_number": "317-872-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 N AUGUSTA DR",
            "address_2": "SUITE 412",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329600",
            "telephone_number": "317-872-4545",
            "fax_number": "317-872-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE CITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENNING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL PRACTICE MANAGEMENT",
        "authorized_official_telephone_number": "317-865-9824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01058330A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smartt Neurology, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.